Healthcare Provider Details

I. General information

NPI: 1346288842
Provider Name (Legal Business Name): DEBRA K. MCMURDO A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBRA K HINKLE ARNP

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 02/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 CLERMONT ST
DENVER CO
80220-3808
US

IV. Provider business mailing address

1055 CLERMONT ST
DENVER CO
80220-3808
US

V. Phone/Fax

Practice location:
  • Phone: 303-399-8020
  • Fax: 303-393-5106
Mailing address:
  • Phone: 303-399-8020
  • Fax: 303-393-5106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number45558
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number78726
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: